| NPI | 1619217353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN SIMPSON Crisis Social Worker 517-648-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI 6801087737) |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-02-17 |